2017-02-06T13:33:09-07:00 2016-03-31 208019714 JDS PROFESSIONAL GROUP 10303 E DRY CREEK RD STE 400 ENGLEWOOD CO 80112 990 2015-04-01 830326307 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING COMM 3072336000 5000 BLACKMORE ROAD CASPER WY 82609 COLE WHITE INTERIM CEO 3072336000 2017-02-06 true LORI B BAUER CPA P01260252 3037710123 2017-02-06 2015 2021-01-29 14:40:06Z COLE WHITE 5000 BLACKMORE RD CASPER WY 82609 10819797 false X WWW.CHCCW.ORG X 1999 WY TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. 9 9 164 9 0 3198605 3953432 8167502 6865285 634 1080 0 11366741 10819797 0 0 7480720 7109808 0 34873 3989146 5430363 11469866 12540171 -103125 -1720374 13285884 11712576 1094118 1222485 12191766 10490091 X TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. false false 5905158 5486976 MEDICAL FACILITY - THE ORGANIZATION PROVIDES LAB, MULTIPHASIC, PHARMACY, AND MEDICAL SERVICES TO PATIENTS. APPROXIMATELY 28,783 PATIENT VISITS WERE SEEN AT THE MEDICAL FACILITY DURING THE FISCAL YEAR. SERVICES INCLUDE FAMILY MEDICINE, GERIATRIC CARE, PEDIATRICS, INTERNAL MEDICINE AND OBSTETRICS, INPATIENT SERVICES AT WYOMING MEDICAL CENTER AND LONG-TERM CARE FACILITIES, FULL PHARMACY FOR PATIENTS, LABORATORY, X-RAYS, ULSTRASOUNDS, AND OTHER SCREENING AND DIAGNOSTIC TESTS, SUCH AS VISION AND HEARING, PATIENT HEALTH EDUCATION, PATIENT ASSISTANCE, PREVENTATIVE CARE, AND SPANISH TRANSLATION SERVICES. 1078206 956669 DENTAL - THE ORGANIZATION'S DENTAL CLINIC OPERATES WITHIN SCOPE AND PROVIDED APPROXIMATELY 5,077 PATIENT VISITS DURING THE FISCAL YEAR. SERVICES INCLUDE DENTAL HYGIENE, GENERAL RESTORATIVE ORAL CARE (FILLINGS), GLOWNS, BRIDGES, ENDODONTIC (ROOT CANALS), EXODONTIA (EXTRACTIONS), PERIODONTAL SURGERY, PROSTHODONTICS (DENTURES, PARTIALS), MINI IMPLANTS FOR DENTURES, EMERGENCY DENTAL APPOINTMENTS, ORAL CANCER SCREENING, AND ELECTRONIC PATIENT RECORDS. 654742 421640 BEHAVIORAL HEALTH - THE ORGANIZATION'S BEHAVIORAL HEALTH DEPARTMENT OPERATES WITHIN SCOPE AND PROVIDED APPROXIMATELY 3,351 PATIENT VISITS DURING THE FISCAL YEAR. SERVICES INLCUDE PSYCHOLOGICAL EVALUATIONS AND TESTING, PERSONAL SKILLS TRAINING, MEDICATION MANAGEMENT, PSYCHOTHERAPY, SOCIAL INTERACTION GROUP THERAPY, BEHAVIORAL MODIFICATION TREATMENT FOR ATTENTION DEFICIT DISORDER, SPECIALIZED TREATMENT (POST TRAUMATIC STRESS DISORDER, PSYCHOLOGICAL TRAUMA AND ABUSE, AUTISM AND ASPERGURS SYNDROME, HEAD INJURIES), AND PSYCHOLOGICAL EVALUATIONS FOR CHRONIC PAIN MANAGEMENT. 7638106 true true false true false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 24 0 true 164 true false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X THE ORGANIZATION 3072336000 5000 BLACKMORE RD CASPER WY 82609 JEFF MURATORE CHAIR 10.00 X X 0 0 0 DR SEAN ELLIS VICE CHAIR 10.00 X X 0 0 0 DR MATT FREDERIKSEN SECRETARY 10.00 X X 0 0 0 SHAUNA OLESON TREASURER 10.00 X X 0 0 0 MIKE GILMORE DIRECTOR 10.00 X 0 0 0 DEB JOHNSON DIRECTOR 10.00 X 0 0 0 DR JAMES FOWLER DIRECTOR 10.00 X 0 0 0 JOHN ANGST DIRECTOR 10.00 X 0 0 0 RUBY PERRY DIRECTOR 10.00 X 0 0 0 DR PATRICIA BELL CHIEF MED. O 40.00 X 195615 0 24734 DANIEL J MEYERS CEO 40.00 X 163407 0 15286 ERIC NIEMEYER CFO 40.00 X 97947 0 16670 RYAN BAIR COO 40.00 X 88062 0 16098 COLE WHITE INTERIM CEO 40.00 X 3077 0 1484 DR PAUL HARNETTY PHYSICIAN 40.00 X 273705 0 27575 JERRY JARRARD PHYSICIAN 40.00 X 193095 0 18665 DR GRADY SNYDER PHYSICIAN 40.00 X 189750 0 20255 DR JUNGSOOK JOHNSON PHYSICIAN 40.00 X 150556 0 20571 JESSICA DORNBIER PHARMACIST 40.00 X 142899 0 13740 1498113 175078 9 false true false BARTON ASSOCIATES 300 JUBILEE DR PEABODY MA 01960 CONTRACT OBGYN 737184 PRIORITY MANAGEMENT GROUP INC 700 SCHOOL ST PAWTUCKET RI 02860 AR MGT 303101 2 3711978 241454 180138 3953432 PATIENT SERVICE REVENUE 624100 6854913 6854913 OTHER REVENUE 624100 10372 10372 6865285 1080 1080 10819797 6865285 1080 582249 388298 191649 2302 5235393 3491439 1723258 20696 61569 41060 20266 243 759984 506827 250152 3005 470613 309228 161385 249488 25744 223744 40400 40400 1201183 932939 268244 74758 850 73908 290450 70066 220384 146512 4263 142249 77840 35607 42233 20184 -1822 22006 1332784 888823 438692 5269 48175 48175 MEDICAL SUPPLIES & OTHER 1625628 671452 951008 3168 IN KIND VACCINES 180138 180138 TRAINING & RECRUITMENT 97908 66976 30932 EQUIPMENT R&M 27231 16869 10362 17684 9349 8145 190 12540171 7638106 4867192 34873 169767 113943 517534 418234 217473 207087 660361 344995 290156 244686 50751 294280 15944102 5854751 11379842 10089351 13285884 11712576 757178 700637 643 313242 521205 23698 1094118 1222485 X 12191766 10464961 25130 12191766 10490091 13285884 11712576 -1720374 18699 X false true X true true true X 9240080 7773885 2835074 3198605 3953432 27001076 9240080 7773885 2835074 3198605 3953432 27001076 27001076 6149 1463 1139 634 1080 10465 27011541 37921515 0.99960 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 1260084 1260084 9335306 1981463 7353843 1925934 527726 1398208 3422778 3345562 77216 10089351 ESTIMATED SELF INSURANCE COSTS X 10819797 10819797 10819797 12521472 -18699 -18699 12540171 12540171 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE FROM THE INTERNAL REVENUE SERVICE OF EXEMPTION FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VI) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE DONATION UNDER 509 (A)(1). ACCORDINGLY, NO FEDERAL INCOME TAXES ARE REFLECTED IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION FOLLOWS ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES IT TO DETERMINE WHETHER A TAX POSITION (AND THE RELATED TAX BENEFIT) IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT, PRESUMING THAT THE TAX POSITION IS EXAMINED BY THE APPROPRIATE TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. DURING THE YEARS ENDED MARCH 31, 2016 AND 2015, THE ORGANIZATION'S MANAGEMENT EVALUATED ITS TAX POSITIONS TO DETERMINE THE EXISTENCE OF UNCERTAINTIES, AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION OR WHICH MAY HAVE AN AFFECT ON ITS TAX-EXEMPT STATUS. SCHEDULE D, PAGE 4, PART XIII THE PRIOR PERIOD ADJUSTMENT IS NECESSARY TO BRING THE BEGINNING BALANCES TO ACTUAL. THE PRIOR YEAR RETURN WAS PREPARED BEFORE THE AUDITED FINANCIAL STATEMENTS WERE COMPLETE. THE ADJUSTMENT CORRECTS THE NET ASSETS MOVING FORWARD. X X X X X false false false false false false false true false DR PATRICIA BELL CHIEF MED. OFFICER 195615 8954 15780 220349 DANIEL J MEYERS CEO 163407 9946 5340 178693 DR PAUL HARNETTY PHYSICIAN 273705 16555 11020 301280 JERRY JARRARD PHYSICIAN 193095 4200 14465 211760 DR GRADY SNYDER PHYSICIAN 189750 11610 8645 210005 DR JUNGSOOK JOHNSON PHYSICIAN 150556 9231 11340 171127 JESSICA DORNBIER PHARMACIST 142899 8400 5340 156639 SCHEDULE J, PAGE 1, PART I, LINE 7 MEDICAL PROFESSIONALS RECEIVED PRODUCTIVITY BONUSES WHICH WERE BONUSES GIVEN TO PROVIDERS BASED ON PRODUCTION GOALS (ENCOUNTERS AND CHARGES) STIPULATED IN THEIR EMPLOYMENT CONTRACTS. X 2447 180138 FMV false false false FORM 990 - ORGANIZATION'S MISSION TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE RETURN IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM PREPARING THE FORM. UPON COMPLETION OF TOP MANANAGMENT'S REVIEW, A TENTATIVE FINAL DRAFT IS EMAILED/MAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW. ANY QUESTIONS OR RECOMMENDED CHANGES ARE DIRECTED TO THE CFO AND CHANGED IF NECESSARY PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS, THROUGH THE SENIOR MANAGEMENT IS ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. DEPARTMENTAL DIRECTORS AND SUPERVISORS ARE ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE CONFLICT OF INTEREST POLICY IN THEIR DEPARTMENTS. MEMBERS OF THE BOARD MUST NOT ENGAGE IN ANY ACTIVITIES OR RELATIONSHIPS WHICH MIGHT DIRECTLY OR INDIRECTLY RESULT IN A CONFLICT OF INTEREST, OR IMPAIR THEIR INDEPENDENCE OF JUDGMENT. THEY MUST NOT ACCEPT GIFTS, FAVORS OR BENEFITS THAT MIGHT TEND IN ANY WAY TO INFLUENCE THEM IN PERFORMANCE OF THEIR DUTIES AS TRUSTEES. IF A CONFLICT WAS TO ARISE, THE INTERESTED PERSON WOULD NOT PARTICIPATE IN DECISION MAKING RELATED TO THE CONFLICT. CORPORATE OFFICES AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY REVIEW POTENTIAL CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A (1) REVIEWED BY THE BOARD; (2) MARKET SALARY AND BENEFITS DATA ARE REVIEWED; (3) SEVERAL CANDIDATES ARE CONSIDERED BY EXTENSIVE INTERVIEWING AND (4) BACKGROUND CHECKS. FORM 990, PAGE 6, PART VI, LINE 15B (1) REVIEWED BY THE BOARD; (2) MARKET SALARY AND BENEFITS DATA ARE REVIEWED; (3) SEVERAL CANDIDATES ARE CONSIDERED BY EXTENSIVE INTERVIEWING AND (4) BACKGROUND CHECKS. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST.